Admissions Coordinator: Care Management

Description

PeaceHealth is seeking a Admissions Coordinator: Care Management for a Full Time, 1.00 FTE, Day position.

The salary range for this job opening at PeaceHealth is $22.70 – $34.04. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.

Job Summary

Responsible for identifying potential swing bed candidates, pre-screening referrals and preparing patients for admission to the swing bed program. Responsible for assistance with discharge arrangements for care facility and home discharge.Provides support to the Care Management Team to ensure that the day-to-day operational functions of the department are completed in a timely manner. Assists with discharge arrangements for care facility and home discharge in collaboration with RN Care Management and/or Social Work. Tracks and issues patient Medicare Notices. Responsible for timely and appropriate documentation within the electronic medical records system.

Essential Functions

• Responsible for the coordination of admissions, discharges, and transfers; communicates and prioritizes, and provides for patient privacy, exercises discretion, and assures confidentiality at all times.
• Assesses patient referrals to determine that patient meets all admission criteria.
• Assists with arranging home health skilled services and durable medical equipment. Assists with post-discharge follow up appointments and arranging new PCP for un-doctored patients.
• Coordinates the admission process with patients, families, referring facilities, physicians and Care Management caregivers.
• Provides documentation of medical necessity and obtains authorization for treatment re: swing/SNF benefit.
• Assists with issuing Medicare notices, confirms PCP and demographic information and faxes hospital clinical updates to PCP and/or payors.
• Confirms outpatient therapy or post-hospital appointment arrangements.
• Documents discharge planning assistance interventions in CareConnect in a timely manner.
• Greets visitors and health care personnel, screens visitors and telephone calls to determine urgency of contact and facilitates appropriate routing or referral.
• Performs clerical duties which may include front office support, scheduling assistance, management of daily assignments, operation daily hand time keeping.
• Gathers/enters data, retrieves/creates reports as delegated, which may include Concur expense reporting.
• Performs other duties as assigned.

Qualifications

Education

• Preferred: Associate Degree
• Preferred: PT Assistant, Medical Assistant or LPN

Experience

• Required: Skilled nursing facility or swing bed background and/or previous health insurance experience.
• Preferred: Minimum of 3 years administrative experience in a professional medical office environment.
• Preferred: Knowledge of insurance industry (third party payers, state and federal insurance payers). Experience with payer portals.
• Preferred: Marketing sales experience/background, experience with computers, statistical compilation, and analysis of data bases relative to quality assurance and effectiveness of programs instituted experience

Credentials

Skills

• Excellent verbal, written communication, and problem-solving skills.
• Strong organizational skills and demonstrated ability to multi-task in a fast-paced environment.
• Ability to understand and apply swing/SNF benefits in the Critical Access setting.
• Ability to work with office equipment including computers, printers, and phones.
• Proficiency in Windows based PC applications including Word, Excel, PowerPoint, and Outlook.

Working Conditions

Lifting

• Consistently operates computer and other office equipment.
• Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
• Sedentary work.

Environmental Conditions

• Predominantly operates in an office environment.
• Some time spent on site in medical/hospital setting.

Mental/Visual

• Ability to communicate and exchange accurate information.
• The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.

See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.

For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.